Maternal Child HESI| 112 Questions and answers with 100% correct answers | Verified

Maternal Child HESI The nursing instructor asks th e student to describe fetal circulation, specifically the ductus venosus. Which statement by the student indicates an understanding of the ductus venosus? - ✔✔"It connects the umbilical vein to the inferior vena cava." A pregnant client tells the clinic n urse that she wants to know the sex of her baby as soon as it can be determined. The nurse informs the client that she should be able to find out the sex at 12 weeks' gestation because of which factor? - ✔✔The appearance of the fetal external genitalia The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate (FHR) is 174 beats/minute. On the basis of this finding, what is the priority nursing action? - ✔✔Notify the HCP The nurse is conducting a pr enatal class on the female reproductive system. When a client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days, what is the nurse's best response? - ✔✔"It promotes the fertilized ovum's normal implantation in the top portion of the uterus." The nurse should make which statement to a pregnant client found to have a gynecoid pelvis? - ✔✔"Your type of pelvis is the most favorable for labor and birth." A pregnant client in the first trimester calls the nurse at a health care cl inic and reports that she has noticed a thin, colorless vaginal drainage. The nurse should make which statement to the client? - ✔✔"The vaginal discharge may be bothersome, but is a normal occurrence." Rationale: Leukorrhea begins during the first trimest er. Many clients notice a thin, colorless or yellow vaginal discharge throughout pregnancy. Some clients become distressed about this condition, but it does not require that the client report to the health clinic or emergency department. The home care nur se is monitoring a pregnant client with gestational hypertension who is at risk for preeclampsia. At each home care visit, the nurse assesses the client for which classic signs of preeclampsia? Select all that apply. - ✔✔Proteinuria 2.Hypertension A preg nant client reports to a health care clinic, complaining of loss of appetite, weight loss, and fatigue. After assessment of the client, tuberculosis is suspected. A sputum culture is obtained and identifies Mycobacterium tuberculosis. Which instruction sho uld the nurse include in the client's teaching plan? - ✔✔Isoniazid plus rifampin will be required for 9 months. Rationale: More than 1 medication may be used to prevent the growth of resistant organisms in a pregnant client with tuberculosis. Treatment mu st continue for a prolonged period. The preferred treatment for the pregnant client is isoniazid plus rifampin daily for 9 months A client arrives at a birthing center in active labor. Following examination, it is determined that her membranes are still intact and she is at a -2 station. The health care provider prepares to perform an amniotomy. What will the nurse relay to the clien t as the most likely outcomes of the amniotomy? Select all that apply. - ✔✔Increased efficiency of contractions The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed cord The nurse is monitoring a client in labor. The nu rse suspects umbilical cord compression if which is noted on the external monitor tracing during a contraction? - ✔✔Variable decelerations Insulin needs (Increase?/Decrease) in the first trimester of pregnancy because of increased insulin production by th e pancreas and increased peripheral sensitivity to insulin - ✔✔Decrease abruptio placentae - ✔✔premature separation of the placenta from the uterine wall. Uterine tenderness is a symptom. labor dystocia - ✔✔an abnormally slow progression of labor Hyper tonic uterine contractions are painful, occur frequently, and are uncoordinated. Management of hypertonic labor depends on the cause. Primary intervention for this? - ✔✔Pain relief management.